A Cross Sectional Study of Microbial Contamination of Medical Students’ White Coat

The objective of this study is to determine the incidence of microbial contamination on medical students’ white coats, the way they handle and clean their white coats and their perception towards contamination. For this purpose, cross sectional survey of the bacterial contamination of white coats in a medical college has been carried out in 3 different locations; Royal College of Medicine, Perak, University of Kuala Lumpur and a private college attached to Ipoh General Hospital. It was found that the incidence of Staphylococus aureus, was 32% on short-sleeved and 54% on long-sleeved white coats. Bacillus species was the second most common type of bacteria found. Male collars and female pockets had higher microbial contaminations (p=0.01, 0.03 respectively). Clinical students’ white coats were significantly less contaminated than non-clinical students (p=0.001) although they tend to wear it for a longer period (5.75 ± 2.19 h vs. 2.32 ± 0.81 h) (p=0.001). Clinical students owned more short-sleeved coats (p=0.001) and washed their coats more often (p=0.01) than non-clinical ones. More than eighty one percent of clinical students wear their white coats in the college the majority of whom were females (p=0.005). Perception of clinical and non-clinical students towards white coat contamination was similar. Medical students’ white coats are contaminated with bacteria and they are potentially source of cross infection. Student’s way of handling and washing white coats should be corrected by issuing and following standard guidelines. Students should be bared from wearing white coats in non-clinical areas. Washing hands and using plastic aprons is highly recommended before examining wounds

Valence-Bond Solid phases in the spin-1/21/2 Kekul{\'e}-Heisenberg model

We map out the ground state phase diagram of the isotropic Kekul{\'e}-Kitaev model on the honeycomb lattice in the presence of the Heisenberg exchange couplings. Our study relies on large-scale tensor network simulations based on graph-based projected entangled pair state (gPEPS) approach in the thermodynamic limit. We find that on top of the quantum spin liquid (QSL) and conventional magnetically ordered phases which are typical of the Kitaev-Heisenberg model, the Kekul{\'e}-Heisenberg phase diagram, hosts two plaquette valance bond solid (VBS) phases with vanishing magnetic order. While the VBS phases preserve the symmetries of the original Hamiltonian, they differ markedly from the Kitaev spin liquid by having decorated plaquette ordering which is distinguished by a plaquette order parameter

The heritability of premenstrual syndrome

We aimed to determine (1) the prevalence of premenstrual syndrome in a sample of twins and (2) the relative contribution of genes and environment in premenstrual syndrome. A group of 193 subjects inclusive of same gender twins (n = 176) and females from opposite sex twin sets (n = 17) entered the study. Heritability analysis used same gender twin data only. The probandwise concordance rate for the presence or absence of premenstrual syndrome was calculated and the heritability of premenstrual syndrome was assessed by a quantitative genetic model fitting approach using MX software. The prevalence of premenstrual syndrome was 43.0% and 46.8% in monozygotic and dizygotic twins, respectively. The probandwise concordance for premenstrual syndrome was higher in monozygotic (0.81) than in dizygotic twins (0.67), indicating a strong genetic effect. Quantitative genetic modeling found that a model comprising of additive genetic (A) and unique environment (E) factors provided the best fit (A: 95%, E: 5%). No association was found between premenstrual symptom and the following variables: belonging to the opposite gender twin set, birth weight, being breast fed and vaccination. These results established a clear genetic influence in premenstrual syndrome

The prevalence of domestic violence among pregnant women who were attended in Iran University of medical science hospitals

The prevalence of domestic violence (DV) during pregnancy could be high and is associated with significant psychological and physical impairment for mother and the fetus. The major objective of this study was to determine the prevalence of DV in expectant mothers who have attended the Iran University of Medical Sciences' Hospitals (IUMS). In this cross-sectional study, 1,800 subjects were interviewed using a modified questionnaire to determine the prevalence of DV. Consecutive sampling was performed in six major hospitals of IUMS according to the number of referred patients. The prevalence of DV was found to be 60.6 including three types of physical, psychological, and sexual violence with the prevalence of 14.6, 60.5 and 23.5, respectively. Severe physical DV was 5.3. Severe psychological and sexual DV were also found in about 24.6 and 3.4 of cases, respectively. DV had a high prevalence in this study. It is recommended that all accessible pregnant women be screened for DV. Study of the prevalence of DV within the community with a larger sample size, and using cluster-sampling methodology would be of immense value. © 2007 Springer Science+Business Media, LLC

Community-based distribution and contraception usage in Iran

Objective: Despite the availability of free contraception from family planning clinics, the rate of unwanted pregnancy in Iran is still high. The effectiveness of other methods for contraceptive supply should, therefore, be evaluated. The aim of this study was to determine the effects of community-based distribution (CBD) on contraceptive usage in Iran. Methods: This controlled field trial study involved 297 individuals (100 subjects in the CBD group and 197 subjects in the control group) from four major remote areas of Hamedan, Iran. Stratified random sampling was used. Results: Data analysis suggested that using CBD has four major effects: (1) it increases the level of contraceptive knowledge (p<0.0001), (2) it enhances correct contraceptive choice by couples (p<0.0001), (3) it improves contraceptive usage (p<0.0001) and (4) it improves contraceptive continuation rates (p<0.0001). Conclusions: CBD facilitates better knowledge, proper choice, and correct and continuous usage of contraception. This method should, therefore, be adopted for family planning services in remote areas of Iran

Impacts of climate change on soybean production under different treatments of field experiments considering the uncertainty of general circulation models

Earth is faced with dramatic changes in the weather systems, which leads to climate change. Climate change affects water resources and crop production. In this study, five and seven general circulation models (GCMs) were respectively collected via the IPCC Fourth and Fifth Assessment Reports. Emission scenarios including B1, A1B, and A2 for AR4 and RCP2.6 and RCP8.5 for AR5 were applied to predict future climate change. The weighting method of mean observed temperature-precipitation (MOTP) was utilized to compute uncertainty related to different climate models. The scenario files made by ΔT and ΔP were applied to the downscaled model of LARS-WG to generate weighted multi-model ensemble means of temperature and precipitation for the period 2020–2039 centered on 2030s. These ensemble means were incorporated into the calibrated AquaCrop model to predict final yield and biomass. In this study, soybean data were applied for four different varieties under three irrigation treatments in field experiments carried out at Karaj Seed and Plant Improvement Institute in two successive years. However, the results of statistical analysis between the model output and observed data for all varieties and irrigation treatments in the calibration year (2010) and validation year (2011) were the same at the 95% confidence level. It is suggested that AquaCrop is a valid model to predict yield and biomass for the study area in the future. Furthermore, comparing future climatic variables to the historical period during the soybean growing season showed enhancement of these variables by the 2030s. The amplitude change of temperature was larger in AR5, whereas the amplitude change of precipitation and CO2 were larger in AR4. The soybean yield and biomass increased for all treatments in the 2030 s with positive correlation with the climatic variables. The maximum temperature represented the most significant correlation with yield and biomass for almost all treatments. Finally, soybeans might achieve an optimal threshold temperature in the future, leading to yield increases in the 2030s

How Are Epigenetic Modifications Related to Cardiovascular Disease in Older Adults?

The rate of aging has increased globally during recent decades and has led to a rising burden of age-related diseases such as cardiovascular disease (CVD). At the molecular level, epigenetic modifications have been shown recently to alter gene expression during the life course and impair cellular function. In this regard, several CVD risk factors, such as lifestyle and environmental factors, have emerged as key factors in epigenetic modifications within the cardiovascular system. In this study, we attempted to summarized recent evidence related to epigenetic modification, inflammation response, and CVD in older adults as well as the effect of lifestyle modification as a preventive strategy in this age group. Recent evidence showed that lifestyle and environmental factors may affect epigenetic mechanisms, such as DNA methylation, histone acetylation, and miRNA expression. Several substances or nutrients such as selenium, magnesium, curcumin, and caffeine (present in coffee and some teas) could regulate epigenetics. Similarly, physical inactivity, alcohol consumption, air pollutants, psychological stress, and shift working are well-known modifiers of epigenetic patterns. Understanding the exact ways that lifestyle and environmental factors could affect the expression of genes could help to influence the time of incidence and severity of aging-associated diseases. This review highlighted that a healthy lifestyle throughout the life course, such as a healthy diet rich in fibers, vitamins, and essential elements, and specific fatty acids, adequate physical activity and sleep, smoking cessation, and stress control, could be useful tools in preventing epigenetic changes that lead to impaired cardiovascular function

Effect of expressive writing on promotion of body image in women with multiple sclerosis: A randomized controlled trial

Background and purpose: Multiple sclerosis (MS) affects own physical function and body image. The aim of this study was to determine the effect of expressive writing on body image in women with MS. Materials and methods: In this randomized trial, the Solomon four-group design was employed. The study was carried out in 116 women attending an MS clinic in Tehran, Iran 2019. The participants were randomly assigned to two subgroups of control (A1 and A2) and two subgroups of intervention (B2 and B1). Pretest and posttest were done in A2 and B2 while for A1 and B1only posttest was performed. Expressive writing including morning pages, meeting the inner child, and creative assignments were carried out for six weeks. The control group received routine care. Fisher Body Focus Questionnaire was completed at pretest in A2 and B2 and at posttest in all groups (immediately after the intervention, and at weeks four and eight). Data analysis was done in SPSS V26. Results: The mean scores for body image in B2 were 145.65±19.89 at pretest, 156.89±9.54 immediately after the intervention, 158.16±8.92 at week four, and 153.96±8.27 at week eight. In A2, the mean score at these times were 144.96±7.17, 145.55±5.10, 145.28±7.84, 145.00±9.15, respectively. Expressive writing significantly improved body image in B2 at immediately and four weeks after the intervention compared to pretest (P&lt;0.001). There were significant differences between the control group and intervention group at immediately after (P=0.002) and four weeks (P=0.03) after the intervention. Conclusion: Expressive writing could be effective in improving body image in women with MS. © 2021, Mazandaran University of Medical Sciences. All rights reserved

Continuation of Unintended Pregnancy.

Background: Forty-four percent of all pregnancies worldwide are unintended. Induced abortion has drawn a lot of attention from clinicians and policy makers, and the care for women requesting it has been covered in many publications. However, abortion challenges the values of many women, is associated with negative emotions, and has its own medical complications. Women have the right to discuss their unintended pregnancy with a clinician and receive elaborate information about other options to deal with it. Continuing an unintended pregnancy, and receiving the necessary care and support for it, is also a reproductive right of women. However, the provision of medical information and support required for the continuation of an unintended pregnancy has hardly been approached in the medical literature. Objective: This review presents a clinical approach to unintentionally pregnant patients and describes the information and support that can be offered for the continuation of the unintended pregnancy. Discussion: Clinicians should approach patients with an unintended pregnancy with a sympathetic tone in order to provide the most support and present the most complete options. A complete clinical history can help frame the problem and identify concerns related to the pregnancy. Any underlying medical or obstetric problems can be discussed. A social history, that includes the personal support from the patient's partner, parents, and siblings, can be taken. Doctors should also be alert of possible cases of violence from the partner or child abuse in adolescent patients. Finally, the clinician can provide the first information regarding the social care available and refer the patients for further support. For women who continue an unintended pregnancy, clinicians should start antenatal care immediately. Conclusion: Unintentionally pregnant women deserve a supportive and complete response from their clinicians, who should inform about, and sometimes activate, all the resources available for the continuation of unintended pregnancy. Summary: Forty-four percent of all pregnancies worldwide are unintended. Induced abortion has drawn a lot of attention and the care for women requesting it has been covered in many publications. However, abortion challenges the values of many women, is associated with negative emotions, and has its own medical complications. Women have the right to discuss their unintended pregnancy with a clinician and receive elaborate information about other options to deal with it. Continuing an unintended pregnancy, and receiving the necessary care and support for it, is also a reproductive right of women. However, the provision of medical information and support required for the continuation of an unintended pregnancy has hardly been approached in the medical literature. This review presents a clinical approach to unintentionally pregnant patients and describes the information and support that can be offered for the continuation of the unintended pregnancy. Clinicians should approach patients with an unintended pregnancy with a sympathetic tone. A complete clinical history can help frame the problem and identify concerns related to the pregnancy. Any underlying medical or obstetric problems can be discussed. A social history, that includes the personal support from the patient's partner, parents, and siblings, can be taken. Doctors should also be alert of possible cases of violence from the partner or child abuse in adolescent patients. Finally, the clinician can provide the first information regarding the social care available and refer the patients for further support. For women who continue an unintended pregnancy, clinicians should start antenatal care immediately